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INJURY PREVENTION SESSIONS Preventing unintentional injuries to children under 5 years in low-income settings: A community-based participatory approach

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Globally, nearly 650,000 children lose their lives to injuries every year. Injuries that occur in the home to children under the age of 5 years (burns, falls, drowning, poisoning) can be prevented through the provision of appropriate safety equipment e.g. barriers, childproof containers, smoke alarms, etc coupled with parental education. A number of studies conducted in high-income countries have shown significant reductions in child injuries following this approach. What is less well known is how these interventions translate to low-income settings.

Presenting findings from their formative work in Jinja, Uganda, the research team from TGI and Makerere University highlight the importance of community-based participatory research in understanding the risks to children under-5 in such settings and how novel approaches such as Photovoice and engagement with local engineers and community members can help shape the proposed intervention packages.

The recording is available here:


The 'Injury Prevention Sessions' are action-focused conversations about how we learn from local solutions to address the global problem of injury. From practitioners to researchers to students, this informal forum brings together like-minded individuals to explore innovative injury prevention research methodologies and opportunities to work together to save lives globally. This webinar series is co-hosted by UNSW School of Population Health and the WHO Collaborating Centre on Injury Prevention and Trauma Care at The George Institute for Global Health.

Speakers

  • Prasanthi Attwood

    Prasanthi is an injury epidemiologist focusing on monitoring and evaluation of child road safety projects in 6 countries through the Botnar Foundation and working with longitudinal data to analyse gender differences and injuries amongst a large cohort of adolescents from Vietnam, Peru, Ethiopia and India.

    Prasanthi obtained her medical degree from Cambridge University (UK), and then spent over a decade working within the field of injury prevention at Johns Hopkins (Baltimore, US). With a young family and move back to the UK, she wanted to be part of a dynamic and innovative team slightly closer to home and was therefore thrilled to have the opportunity to join the George Institute, UK, helping to further develop the injury research portfolio.

    Prash Attwood headshot
  • Charles Ssemugabo

    Charles Ssemugabo is a Research Associate in the Department of Disease Control and Environmental Health. He holds degrees of Bachelor of Environmental Health Sciences (BEHS) from Makerere University, Masters of Public Health – Health Promotion (MPH-HP) from Uganda Martyrs University, a post graduate diploma in pesticide risk Management from the University of Cape Town (UCT) and is a PhD student at Makerere University.

    His research interests include: environmental epidemiology, exposure and effects assessment in environmental epidemiology, planetary health and climate change, global environmental change, health systems and how they are affected by global environmental changes. His key publications include childhood injuries; epilepsy; water sanitation and hygiene; Community health systems, Pesticide poisoning; Gender and Ethics in Health systems, and mHealth.

    Charles Ssemugabo headshot
closethegap1

Statement: Closing the Gap announcements welcome, but needs to go further

The launch of the Closing the Gap Implementation Plan by the Commonwealth Government last week is a positive start but needs to go further to achieve real impact for Aboriginal and Torres Strait Islander people and communities.

Dr. Julieann Coombes, Research Fellow in the Aboriginal and Torres Strait Islander Health Program at The George Institute for Global Health says the lack of transparency in implementation, inadequate community consultation, and delivery timelines have long been highlighted as key barriers to addressing system-wide inequity in Australia

“To address these barriers and support the Close the Gap Agreement, it is crucial the Commonwealth Government urgently releases committed funding,” Dr. Coombes said.

“While we welcome the intention of the Implementation Plan is to take a whole-of-government approach, the $1 billion commitment across 10 years does not go far enough, quick enough to close the gap. Certain commitments – such as the commitment to provide an additional $254.4 million towards infrastructure for Aboriginal Community Controlled Health Organisations – is heartening, but given the COVID-19 pandemic, this funding over 10 years will not be enough and needs to go further to support the work these essential services provide is the short-term.

Beyond funding commitments, it is crucial that First Nations people of Australia have the voice, opportunity and the resources to self-determine their community priorities and outcomes. A Makarata Commission, as part of the Uluru Statement from the Heart, is central to this process, but is once again denied.

“The ramifications for not redressing the past prevents reconciliation and will continue to impact future generations of First Nations children.

Our children are alienated from their families at unprecedented rates. This cannot be because we have no love for them. And our youth languish in detention in obscene numbers. They should be our hope for the future – Uluru Statement from the Heart

“The rate of increase in out-of-home care cases means the current closing the gap targets will not be met by 2031 and a whole generation will have passed. While annual reporting will provide a clearer picture of out-of-home care cases, it does not address children being removed from their families. Action is urgently needed to reduce cases of out-of-home care as a priority.

“While the Implementation Plan includes significant investments into the preservation of language, additional funding and resources need to be targeted to support and strengthen families and communities sooner rather than later, where cultural practices of language and lore are passed to our children. This will in turn strengthen the social and cultural determinants of health and wellbeing, providing hope for First Nations peoples’ future,” Dr. Coombs said.

To read more about the Closing the Gap indicators and targets, click here to read commentary by our Distinguished Fellow and CEO of the Lowitja Institute, Dr. Janine Mohamed.

 

Seeing the full picture

New podcast series aims to inspire ‘systems thinking’ to strengthen health systems

The George Institute for Global Health has developed a special podcast series with the Alliance for Health Policy and Systems Research. The podcast features conversations with systems thinking experts from around the world and draws on their experience so listeners can learn how using systems thinking can strengthen health systems.

The podcast series, Seeing the full picture, is co-hosted by Dr Devaki Nambiar and Professor Stephen Jan.

In describing the series, Devaki said, "About a decade and a half ago, as some of the literature on systems thinking and health policy and systems research was coming out, my interest was piqued. I became very interested in trying to explore this. This podcast is, I suppose in a way, Stephen’s and my journey through trying to understand this for ourselves and with people who’ve done more thinking in this space."

In the series, the co-hosts reflect on key issues and major developments in systems thinking for health systems strengthening, and interview key thought leaders in the field. There are five episodes in the series:

  • Episode 1 – Alliance foundations in systems thinking: Why then, what now?
  • Episode 2 – Background to systems thinking
  • Episode 3 – The science -and art - of systems thinking in health
  • Episode 4 – Low and middle-income country experiences in systems thinking
  • Episode 5 –  Systems thinking: political and policy challenges

Each episode is approximately 45 minutes, to enable in-depth conversations around key topics.

This series aims to inspire listeners to consider the relevance of these approaches in their work, and that listeners will go on to be part of a new generation of practitioners and researchers advocating for the importance of systems thinking in strengthening health systems globally.